39D2053764 CLIA NUMBER - OLEG VOLCHONOK MD PC

Laboratory Demographics

  • CLIA Code: 39D2053764
  • Facility Name: OLEG VOLCHONOK MD PC
  • Facility Address: 11400 BUSTLETON AVE
    PHILADELPHIA, PA
    ZIP 19116
  • Facility Phone: 215 969-8446
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. ANDRIY PAVLENKO
  • NPI Number: 1275571945
  • Taxonomy: 207RG0100X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 39D2053764
LAB Type Physician Office
Facility Name OLEG VOLCHONOK MD PC
Street 11400 BUSTLETON AVE
City PHILADELPHIA
State PA
ZIP 19116
Phone 215 969-8446
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 5/13/2025
Certificate Expiration Date 5/12/2027
Facility Type Physician Office
Lab Director DR. ANDRIY PAVLENKO

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This page was last updated on: 9/29/2025